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Cardiac Arrest (1 of 2)
CPR has limited use in a
wilderness setting.
CPR is difficult to continue during
a wilderness evacuation.
It is recommended that CPR be
stopped after 30 minutes if the
victim does not respond.
Cardiac Arrest (2 of 2)
CPR for hypothermia victims
Continue for more than 30 minutes
CPR for avalanche victims
Continue for more than 30 minutes if
necessary
CPR for lightning-strike victims
Start CPR immediately
CPR submersed victims
If victim has been submersed for more than
60 minutes, do not start CPR
Dislocations
In a wilderness
situation, reducing
some dislocated joints
is recommended.
Reducing is a technical
term that means
aligning.
Shoulder Dislocation
Recognizing shoulder dislocation:
Victim is in extreme pain.
Upper arm is held away from the
body.
Victim is unable to touch the
uninjured shoulder with the hand
of the injured extremity.
Compare the injured shoulder with
the uninjured one.
Finger Dislocation
Recognizing a finger
dislocation:
Deformity and
inability to use or
bend the finger
Pain and swelling
Abnormal position
of two bones
Kneecap Dislocation
Recognizing kneecap
dislocation:
Patella has moved
to the outside of the
knee joint.
Victim is in pain.
Compare to other
leg.
Spinal Injury
Recognizing a possible spinal injury:
Is the victim alert and oriented?
Does the victim have any major painful
injury?
Victim complaining of neck pain?
Victim have tingling, numbness, or
weakness in the extremities?
Check for neck tenderness.
Determine if victim have sensation in
hands or feet.
Avalanche Burial
Falling masses of snow that may also contain
rocks, soil, or ice.
Number of deaths has increased rapidly since
the 1970s.
Most avalanche victims die of suffocation.
Speed of extrication and existence of an air
pocket are the main factors that determine
survival.
Recognizing an Avalanche
Victim
Avalanches kills and injure in two
ways.
The serious injury victim acquires
while tumbling down the
avalanche path.
Snow burial and suffocation.
Altitude Illness
Hypoxia
Occurs when the bodys tissues do
not have enough oxygen
Acute mountain sickness (AMS)
High-altitude pulmonary edema (HAPE)
High-altitude cerebral edema (HACE)
Lightning
Lightning injures in five ways.
Direct strike
Splash
Ground current
Contact injury
Shock wave
Wilderness Evacuation
Determining the best way to evacuate a
victim must be based on several
factors.
Victim can be evacuated by:
Helicopter
Walking out
Being carried on a litter
When to Evacuate
Immediate evacuations
Rapidly evacuate when medical care
is needed in 30 to 60 minutes or less.
Delayed evacuations
Medical care should be obtained
within 6 to 24 hours of injury.